The relationship between pre-pregnancy BMI and energy and macronutrients intakes during pregnancy in women from Yucatan, Mexico

In this observational study, our aim was to analyse the association between pre-pregnancy BMI and adequacy rates of energy and macronutrient intakes in a sample of pregnant women from Yucatan, Mexico. From September to December 2019, we collected data on socioeconomic, pregnancy, and dietary charact...

Full description

Saved in:
Bibliographic Details
Main Authors: Hugo Azcorra, Federico Dickinson, José Luis Batún
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Journal of Obstetrics and Gynaecology
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/01443615.2022.2143259
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841553169327325184
author Hugo Azcorra
Federico Dickinson
José Luis Batún
author_facet Hugo Azcorra
Federico Dickinson
José Luis Batún
author_sort Hugo Azcorra
collection DOAJ
description In this observational study, our aim was to analyse the association between pre-pregnancy BMI and adequacy rates of energy and macronutrient intakes in a sample of pregnant women from Yucatan, Mexico. From September to December 2019, we collected data on socioeconomic, pregnancy, and dietary characteristics, and took anthropometric measurements of women during household visits. Pre-pregnancy BMI was calculated from measured height and self-reported body weight. Energy and macronutrient intakes (obtained from three 24-h dietary recalls) were compared with the estimated trimester-specific requirements to calculate adequacies (%). Multiple linear regression models showed that after accounting for maternal socioeconomic characteristics and perinatal variables, each unit increase in pre-pregnancy BMI was associated with decreases of 2%, 2%, and 2.6% in energy, carbohydrate, and total fat intakes, respectively. These results were significant when under- and over-reporters were excluded from the analyses. Women who enter pregnancy with higher BMI values may voluntarily or involuntarily reduce their food intake. IMPACT STATEMENTWhat is already know about this subject? Some studies have analysed the relationship between pre-pregnancy BMI categories (normal weight, overweight, and obesity) and diet quality during pregnancy, but few studies have focussed on quantitative energy and macronutrient intakes or their adequacies in relation to pre-pregnancy BMI.What do the results of this study contribute? In this sample of Mexican women belonging to a middle socioeconomic status, we found that after excluding under- and over-reporters from the analyses and accounting for maternal socioeconomic characteristics and perinatal variables, BMI was negatively associated with adequacy intake rates of energy, carbohydrates, and total fats during pregnancy.What are the implications of these findings for clinical practice and/or further research? Women who enter pregnancy with higher BMI values may voluntarily or involuntarily reduce their food intake. These results can be used to accordingly plan diet counselling during pregnancy.
format Article
id doaj-art-a02611a78e3544ba8115ebd5c7318d45
institution Kabale University
issn 0144-3615
1364-6893
language English
publishDate 2024-12-01
publisher Taylor & Francis Group
record_format Article
series Journal of Obstetrics and Gynaecology
spelling doaj-art-a02611a78e3544ba8115ebd5c7318d452025-01-09T12:13:18ZengTaylor & Francis GroupJournal of Obstetrics and Gynaecology0144-36151364-68932024-12-0144110.1080/01443615.2022.2143259The relationship between pre-pregnancy BMI and energy and macronutrients intakes during pregnancy in women from Yucatan, MexicoHugo Azcorra0Federico Dickinson1José Luis Batún2Centro de Investigaciones Silvio Zavala, Universidad Modelo, Mérida, MéxicoIndependent ResearcherFacultad de Matemáticas, Universidad Autónoma de Yucatán, Mérida, MéxicoIn this observational study, our aim was to analyse the association between pre-pregnancy BMI and adequacy rates of energy and macronutrient intakes in a sample of pregnant women from Yucatan, Mexico. From September to December 2019, we collected data on socioeconomic, pregnancy, and dietary characteristics, and took anthropometric measurements of women during household visits. Pre-pregnancy BMI was calculated from measured height and self-reported body weight. Energy and macronutrient intakes (obtained from three 24-h dietary recalls) were compared with the estimated trimester-specific requirements to calculate adequacies (%). Multiple linear regression models showed that after accounting for maternal socioeconomic characteristics and perinatal variables, each unit increase in pre-pregnancy BMI was associated with decreases of 2%, 2%, and 2.6% in energy, carbohydrate, and total fat intakes, respectively. These results were significant when under- and over-reporters were excluded from the analyses. Women who enter pregnancy with higher BMI values may voluntarily or involuntarily reduce their food intake. IMPACT STATEMENTWhat is already know about this subject? Some studies have analysed the relationship between pre-pregnancy BMI categories (normal weight, overweight, and obesity) and diet quality during pregnancy, but few studies have focussed on quantitative energy and macronutrient intakes or their adequacies in relation to pre-pregnancy BMI.What do the results of this study contribute? In this sample of Mexican women belonging to a middle socioeconomic status, we found that after excluding under- and over-reporters from the analyses and accounting for maternal socioeconomic characteristics and perinatal variables, BMI was negatively associated with adequacy intake rates of energy, carbohydrates, and total fats during pregnancy.What are the implications of these findings for clinical practice and/or further research? Women who enter pregnancy with higher BMI values may voluntarily or involuntarily reduce their food intake. These results can be used to accordingly plan diet counselling during pregnancy.https://www.tandfonline.com/doi/10.1080/01443615.2022.2143259Pre-pregnancy BMIpregnancy dietpregnancy adaptationsMexicoYucatan
spellingShingle Hugo Azcorra
Federico Dickinson
José Luis Batún
The relationship between pre-pregnancy BMI and energy and macronutrients intakes during pregnancy in women from Yucatan, Mexico
Journal of Obstetrics and Gynaecology
Pre-pregnancy BMI
pregnancy diet
pregnancy adaptations
Mexico
Yucatan
title The relationship between pre-pregnancy BMI and energy and macronutrients intakes during pregnancy in women from Yucatan, Mexico
title_full The relationship between pre-pregnancy BMI and energy and macronutrients intakes during pregnancy in women from Yucatan, Mexico
title_fullStr The relationship between pre-pregnancy BMI and energy and macronutrients intakes during pregnancy in women from Yucatan, Mexico
title_full_unstemmed The relationship between pre-pregnancy BMI and energy and macronutrients intakes during pregnancy in women from Yucatan, Mexico
title_short The relationship between pre-pregnancy BMI and energy and macronutrients intakes during pregnancy in women from Yucatan, Mexico
title_sort relationship between pre pregnancy bmi and energy and macronutrients intakes during pregnancy in women from yucatan mexico
topic Pre-pregnancy BMI
pregnancy diet
pregnancy adaptations
Mexico
Yucatan
url https://www.tandfonline.com/doi/10.1080/01443615.2022.2143259
work_keys_str_mv AT hugoazcorra therelationshipbetweenprepregnancybmiandenergyandmacronutrientsintakesduringpregnancyinwomenfromyucatanmexico
AT federicodickinson therelationshipbetweenprepregnancybmiandenergyandmacronutrientsintakesduringpregnancyinwomenfromyucatanmexico
AT joseluisbatun therelationshipbetweenprepregnancybmiandenergyandmacronutrientsintakesduringpregnancyinwomenfromyucatanmexico
AT hugoazcorra relationshipbetweenprepregnancybmiandenergyandmacronutrientsintakesduringpregnancyinwomenfromyucatanmexico
AT federicodickinson relationshipbetweenprepregnancybmiandenergyandmacronutrientsintakesduringpregnancyinwomenfromyucatanmexico
AT joseluisbatun relationshipbetweenprepregnancybmiandenergyandmacronutrientsintakesduringpregnancyinwomenfromyucatanmexico